Upper UTI

• Usually a single organism phenomena

  • ECOLI is the bigger player (some worse then other)

    • 95% of UTI are traced back to this

  • Frequently occuring in the GI tract

    • How does it get there?

      • Poor Hygiene

      • Blood distribution (not often, but usually upper and cortical base)

      • Often ascending infections

        • May have had burning at first, but now have flank pain on the affected side

      • High grade fever, shaking chills

      • High levels of normal UA

        • Microscopic exam

          • > 5 WBCs & > 20 of same bacteria per field

          • Casts may be present (inflammation of the parenchymal tissue)

          • Hematogenous spread if cortical

        • Culture

          • More than 100,000 colonies of the same organism

        • Dipstick

          • Large numbers of WBCs

• Ascending would effect medullary area

• Normally this is an ascending problem that is spread through reproduction through a bio film (it widens its zone of conquering)

Category: Medicine Notes